| NPI | 1790727261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN24158) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2017-03-08 |